BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE

    MDR report key: 2130048 · Received May 5, 2011

    Report

    Report Number
    1811755-2011-01612
    Event Type
    Malfunction
    Date Received
    May 5, 2011
    Date of Event
    March 4, 2011
    Report Date
    March 4, 2011
    Manufacturer
    STRYKER INSTRUMENTS KALAMAZOO
    Product Code
    FYD
    PMA / PMN Number
    K012991
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE WAS EVALUATED BY A FIELD SERVICE REPRESENTATIVE. IT WAS FOUND THAT THE A/C PLUG WAS PARTIALLY MELTED INSIDE. THE A/C PLUG WAS REPLACED AND RETURNED TO SERVICE AFTER PASSING ALL TESTS.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE POWER PLUG WAS PARTIALLY MELTED. ADDITIONAL INFORMATION IS BEING REQUESTED FROM THE ACCOUNT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE FYD STRYKER INSTRUMENTS KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK